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Gary Johanson, LDO
NPI 1871286153 · Optician · Daytona Beach, FL
Gary Johanson, LDO is a Optician provider in Daytona Beach, FL (NPI 1871286153).
Provider details
- NPI number
- 1871286153
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Male
- Sole proprietor
- No
- License
- 01914 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1460 Cornerstone Blvd
Daytona Beach, FL 32117-7174
Phone: (386) 760-3330
Fax: (386) 274-2051
Street-level locationGet directions
Mailing address
1460 Cornerstone Blvd
Daytona Beach, FL 32117-7174
Registry dates
- Enumerated
- 2023-06-01
- Last updated
- 2023-06-01
- Certified
- 2023-06-01
Frequently asked questions
- What is Gary Johanson's NPI number?
- Gary Johanson's National Provider Identifier (NPI) is 1871286153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Johanson's specialty?
- Gary Johanson is listed in the NPPES registry with a primary specialty of Optician (Eye and Vision Services Providers).
- Where is Gary Johanson located?
- Gary Johanson's practice location on file with NPPES is 1460 Cornerstone Blvd, Daytona Beach, FL 32117-7174.
- What is Gary Johanson's phone number?
- The practice phone number listed in the NPPES registry for Gary Johanson is (386) 760-3330.
- Is Gary Johanson's NPI active?
- Yes — Gary Johanson's NPI (1871286153) is active in the NPPES registry as of the last update on 2023-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.